Case managers and social workers are found in all levels across the care continuum. As reimbursement methods have evolved, case management services have been introduced at every level of care to ensure that patients receive the best quality of care at the lowest possible cost.

During this webinar, our experts will focus on the differences and similarities in the roles and functions of case managers and social workers across the continuum of care. To understand your role as a case manager, it is necessary to learn the roles of your colleagues across the continuum. Case managers can no longer work in a silo when caring for patients. These interpersonal and dynamic interfaces will ensure positive financial and clinical outcomes for all delivery settings.

As part of these transitions, the models such as BOOST and RED, first introduced to reduce readmissions, will also be reviewed in terms of the case manager’s role within today’s changing environment.

Do your policies address the complexities of the new healthcare environment?

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Covered Topics:

- Roles in acute care

- Project RED

- Psychosocial patients/families

- Processes across continuum

- Similarities in roles

- Naylor Transitional Care Model

- Roles in community

- Differences in roles

- Coleman Care Transitions Model

- Identifying high risk

- Risk stratification

- Aligning resources & needs

- Outcomes across continuum

- Project BOOST

And that's just the beginning!

After this webinar participants will be able to:

Identify ways in which to risk stratify patients so that case management resources are used most appropriately.

Describe four national transitions in care models and how they apply to your role as a case manager.

Explain new and revised case management standards, regulations, and laws put forth by CMS, TJC, DNV and the federal government.

Evaluate case management protocols and penalties.

Your Speakers:

Toni Cesta, PhD, RN, FAANis a founding partner of Case Management Concepts, LLC. Dr. Cesta is the author of eight books, a frequently sought-after speaker, lecturer and consultant and is considered one of the primary thought leaders in the field of Case Management. Dr. Cesta also writes a monthly column calledCase Management Insiderin AHC Media’sHospital Case Managementnewsletter. She has been active in the research and development of Case Management for over 20 years.

Beverly Cunningham, MS, RNis a founding partner of Case Management Concepts, LLC. She has a 25-year deep working knowledge of case management with specific expertise in denials management, patient flow and the role of the Case Manager and Social Worker in the Case Management process. She has served as a Commissioner on the Commission for Case Management Certification and is a fellow with the Advisory Board. Bev is also the former Vice President of Resource Management at Medical City Dallas Hospital.

Relias Learning, LLC, is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. Contact hours [1.5] will be awarded to participants who meet the criteria for successful completion. California Board of Registered Nursing, Provider # CEP13791.

This activity has been approved by the Commission for Case Manager Certification for 1.5 clock hours.

Expiration:

This CE activity is valid until October 19, 2017 for both the live event and recorded (MP4) version.